LAWRENCE L LIN MD PROFESSIONAL CORPORATION
NPI 1073553590
Obstetrics & Gynecology - Urogynecology and Reconstructive Pelvic Surgery in Thousand Oaks, CA
About Lawrence L Lin Md Professional Corporation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAWRENCE L LIN MD PROFESSIONAL CORPORATION (NPI 1073553590) is a healthcare organization registered as an urogynecology and reconstructive pelvic surgery in Thousand Oaks, California and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through June 25, 2028 and lists Lawrence L Lin, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lawrence L Lin Md Professional Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Lawrence L Lin MD Professional Corporation, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 05D1071111
Lawrence L Lin MD · Thousand Oaks, CAFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Lawrence L Lin MD Professional Corporation's NPI number?
The NPI number for Lawrence L Lin MD Professional Corporation is 1073553590. It was assigned to this organization in the NPPES registry on June 7, 2006.
Where is Lawrence L Lin MD Professional Corporation located?
Lawrence L Lin MD Professional Corporation is located at 1000 Newbury Rd Ste 165, Thousand Oaks, CA 91320. The listed phone number is (805) 449-1778.
What is Lawrence L Lin MD Professional Corporation's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Urogynecology and Reconstructive Pelvic Surgery, with taxonomy code 207VF0040X.
Is Lawrence L Lin MD Professional Corporation enrolled in Medicare?
Yes. Lawrence L Lin MD Professional Corporation is registered in the Medicare PECOS enrollment system.
When is Lawrence L Lin MD Professional Corporation's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Lawrence L Lin MD Professional Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Urogynecology) reassigns their Medicare billing to Lawrence L Lin MD Professional Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Lawrence L Lin MD Professional Corporation hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D1071111) is associated with this NPI, valid through June 25, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Lawrence L Lin MD Professional Corporation was last updated on May 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Lawrence L Lin Md Professional Corporation · NPI 1073553590
Urogynecology and Reconstructive Pelvic Surgery organization in Thousand Oaks, California. Organization record, active in the CMS NPPES registry since June 7, 2006.
## Identity
- **NPI:** 1073553590 (Entity type: Organization)
- **Enumerated:** June 7, 2006
- **Primary specialty:** Obstetrics & Gynecology - Urogynecology and Reconstructive Pelvic Surgery · taxonomy 207VF0040X
- **Organization subpart:** No
- **Authorized official:** Lawrence Lin, PRESIDENT
## Practice location
- **Address:** 1000 NEWBURY RD STE 165, Thousand Oaks, CA 91320-6439
- **Phone:** (805) 449-1778 · **Fax:** (805) 496-9970
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Urogynecology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 8, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1073553590) · Data from the CMS NPPES public registry.